Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659625499 Individual Practitioner Female Practitioner

Kanisha Conrad Dickens , LPN

Licensed Practical Nurse • Durham, NC

Professional Overview & Biography Verified Profile Summary

Kanisha Dickens, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Durham, NC. Practice services are available at 12 MOONSTONE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Moonstone Ct

Durham, NC 277032682

Telephone 8666541113
Fax 9194390222
Associated Practice Facility / Clinic
🏢 Spring Valley Living Llc Facility NPI 1710265301

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Durham, NC (706 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NC 59949

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Nursing Home Administrator

NUCC Taxonomy Code: 376G00000X

State License NC FCL-032-122

An individual, often licensed by the state, who is responsible for the management of a nursing home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2012

Registered at 12 MOONSTONE CT, DURHAM, NC 277032682 (Tel: 8666541113)

📍
Updated Business Mailing Address November 05, 2012

Registered at 12 MOONSTONE CT, DURHAM, NC 277031543 (Tel: 8666541113)

👤
Provider Name / Credentials Updated November 05, 2012

Recorded as KANISHA DICKENS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Licensed Practical Nurse (License #59949 in NC)

🟢
Initial NPI Registration & Enumeration November 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659625499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2012
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

12 Moonstone Ct

Durham, NC 277031543

Phone: 8666541113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.